Why would my plastic surgeon leave my muffin top like this? Is this just swelling? (photos)
Doctor Answers (4)
Dreaded muffin tops
Unhappy with TT results
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Muffin Top after TT & Lipo
Sorry that you aren't totally happy with your result. It is fair to say that it is difficult to roll a patient over to sculpt all the way around to the back while doing a tt, but it isn't impossible- think about a 360 body lift, in which it is done all the time. Add to the mix, you had extensive lipo.
I can't exactly say why you have the asymmetry without preop pics. Things that can contribute include boney structures, spine, fat thickness, muscle differences, and technical asymmetries due to any of the procedures performed. One side is ALWAYS asymmetrical.
Regarding what I see from your pics. On tightening the abs, some of the back fat is brought forward. I can't tell if you have lax skin at the flanks, as I don't know what the pinching middle pic shows. I would guess that additional lipo on the left flank and perhaps back should fix the problems, and since you are over a year out, you should be surgically ready. You may need a bit more skin removed but that can only be determined by exam.
Personally, I do lipo last to "fine tune" the sculpting because you can't put it back, so I have no issue with the described technique order. Not sounding like I am "standing up" for him or anyone else, I will tell you that it sometimes looks great when we finish, but healing sometimes doesn't produce the result we anticipate.
Those are my honest thoughts.
Also, I enclosed a link to a patient similar to you.